Empowerment Through Education & Training

AUSTRALIAN CAREERS BUSINESS COLLEGE
Domestic Student Application for Enrolment

Personal Details

Title:
Given Name:*
Family Name:*
Date of Birth:
Gender:	Male Female
Telephone (home):
Mobile:
Fax:
Email:*
Street Address:
Suburb:
State:
Postcode:

Ethnicity

Were you born in Australia?	Yes No
If not born in Australia, in what country were you born?
and, what year did you arrive in Australia?
Are you of Aboriginal or Torres Strait Islander origin?	No Aboriginal Torres Strait Islander Both Aboriginal and Torres Strait Islander

Citizenship / Visa details

Are you an Australian citizen?	Yes No
Are you a New Zealand citizen?	Yes No
Do you hold a permanent resident visa?	Yes No
Do you hold a permanent humanitarian visa?	Yes No

Language

Is English the language spoken at your permanent home address?	Yes No
If not, what language is spoken at your permanent home address?

Educaton

Education

What is your highest completed secondary school level?	Year 10 or lower Year 11 Year 12
Have you undertaken any post-secondary study?	Yes No
Completed?
Certificate of attainment or competence	Yes No
A vocational course (trade certificate)	Yes No
Diploma / Advanced Diploma	Yes No
Undergraduate degree	Yes No
Postgraduate degree	Yes No
Other

Cpourse applying for

Course applying for:

Please Tick the Course you are applying for, from the following:

Course Name

FNS60204 Advanced Diploma of Accounting

ICA60208 Advanced Diploma of Information Technology (Network Security)

BSB60507 Advanced Diploma of Marketing

BSB50407 Diploma of Business Administration

CHC50302 Diploma of Children’s Services

BSB51007 Diploma of Legal Services

BSB51207 Diploma of Marketing

SIT50107 Diploma of Tourism

SIT30207 Certificate III in Tourism (Travel Retail Sales)

BSB40507 Certificate IV in Business Administration

BSB41207 Certificate IV in Legal Services

Campus:

Liverpool
Parramatta
Wollongong

Advanced Standing

Advanced Standing (Credit Transfer and RPL)

Are you seeking Credit Transfer or Recognition of Prior Learning?

Yes No
If Yes, please attach relevant information and details of experience and previous courses/studies completed.

Disability

Do you have any physical or mental disabilities/limitations or illnesses that may impact on your studies?	Yes No
If yes, please indicate the area/s of impairment:	hearing learning mobility vision medical Other
If you have a disability, would you like to receive advice on support services, equipment and facilities which may assist you?	Yes No

Privacy Statement

The information collected in this form is required to facilitate your enrolment and will be handled and stored in line with the Australian Careers Business College’s Privacy and Personal Information Procedures. Australian Careers Business College reserves the right to verify any of the details you have provided on this form in order to assess your application.

Some information requested on this form is collected to comply with the reporting requirements of the Higher Education Support Act 2003 and will be disclosed to the Commonwealth Department of Education, Employment and Workplace Relations (DEEWR) as well as other information regarding your studies with the Institute. If you access Commonwealth Assistance while enrolled with the Institute, information about you and the study you undertake will be provided to the Australian Taxation Office.

Declaration

I hereby apply for enrolment in the Australian Careers Business College and declare that the information I have provided in this form is correct. I acknowledge that the provision of false documents, incorrect information or withholding information relevant to the application may result in the cancellation of my enrolment. I understand that information about me and the study I undertake may be disclosed as described in the Privacy Statement or otherwise as required by law.

Courses

Enrollment Information

Contact Us

HEAD OFFICE
Liverpool Campus
Phone: (02) 9824 0000

Parramatta Campus
Phone: (02) 9687 1333

Wollongong Campus
Phone: (02) 4228 1222

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AUSTRALIAN CAREERS BUSINESS COLLEGE Domestic Student Application for Enrolment